Treatment of posterior displaced Odontoid fracture with retropharyngeal hematoma in the elderly: case report

Abstract

An 82-year-old man sustained a severely posteriorly displaced type II odontoid fracture. He had dyspnea with retropharyngeal hematoma and required the ventilator management. Closed reduction was not successfu1 with skeleta1 traction. Posterior atlanto-axial fusion was performed with the Cl lateral mass screw and a C2 pedicle and laminar screw. The patient has been followed with satisfactory results. Careful definition of the bone injury and instability is crucial for correct surgical planning and satisfactory outcome.